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Cigarette smoking by pregnant mothers has also been shown to affect the fetus by restricting intrauterine growth, reducing the number of fetal breathing movements, increasing intrapartum asphyxia risk, while also fewer accelerations of the fetal heart rate have been noticed

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Physicians should also consider changing the way they inquire about smoking because the number of packs someone smokes per year is not necessarily predictive of long-term health risks, they said